Evidence map›Paper›PMID 31779620›Full record

ArticleBMC health services research2019

Communication and patient safety in gynecology and obstetrics - study protocol of an intervention study.

Sonia Lippke, Julian Wienert, Franziska Maria Keller, Christina Derksen, Annalena Welp, Lukas Kötting, Kerstin Hofreuter-Gätgens, Hardy Müller, Frank Louwen, Marcel Weigand and 8 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03855735 ("Sufficiency, Accuracy, Clarity, Contextualization, and Interpersonal Adaptation - Safe, Digitally Supported Communication in Gynecology and Obstetrics), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03855735 nacompletednot on this map

"Sufficiency, Accuracy, Clarity, Contextualization, and Interpersonal Adaptation - Safe, Digitally Supported Communication in Gynecology and Obstetrics: TeamBaby"

TypeinterventionalSponsorJacobs University Bremen gGmbHRan2019 to 2023Enrolled424ConditionsPregnancy RelatedArmsTeamBaby Online Communication Training (IG1) and TeamBaby Web-App Communication Training (IG2)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Effectiveness of Communication Interventions in Obstetrics-A Systematic Review.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Sonia LippkeJacobs University Bremen gGmbH, Germany Campus Ring 1, 28759, Bremen, Germany. s.lippke@jacobs-university.de.ORCID http://orcid.org/0000-0002-8272-0399
Julian WienertJacobs University Bremen gGmbH, Germany Campus Ring 1, 28759, Bremen, Germany.ORCID https://orcid.org/0000-0003-1246-7591
Franziska Maria KellerJacobs University Bremen gGmbH, Germany Campus Ring 1, 28759, Bremen, Germany.
Christina DerksenJacobs University Bremen gGmbH, Germany Campus Ring 1, 28759, Bremen, Germany.ORCID https://orcid.org/0000-0002-4663-1882
Annalena WelpJacobs University Bremen gGmbH, Germany Campus Ring 1, 28759, Bremen, Germany.ORCID https://orcid.org/0000-0002-5493-5683
Lukas KöttingJacobs University Bremen gGmbH, Germany Campus Ring 1, 28759, Bremen, Germany.
Kerstin Hofreuter-GätgensDie Techniker; Unternehmenszentrale, Fachbereich Versorgungsmanagement, Bramfelder Str. 140, 22305, Hamburg, Germany.
Hardy MüllerDie Techniker; Unternehmenszentrale, Fachbereich Versorgungsmanagement, Bramfelder Str. 140, 22305, Hamburg, Germany.
Frank LouwenKlinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Frankfurt Goethe-Universität, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Marcel WeigandAktionsbündnis Patientensicherheit, Am Zirkus 2, 10117, Berlin, Germany.
Kristina ErnstUniversitätsklinikum Ulm, Prittwitzstr. 43, 89075, Ulm, Germany.
Katrina KraftUniversitätsklinikum Ulm, Prittwitzstr. 43, 89075, Ulm, Germany.ORCID https://orcid.org/0000-0003-4906-7620
Frank ReisterUniversitätsklinikum Ulm, Albert-Einstein-Allee 23, 89070, Ulm, Germany.
Arkadius PolasikUniversitätsklinikum Ulm, Albert-Einstein-Allee 23, 89070, Ulm, Germany.
Beate Huener Nee SeemannUniversitätsklinikum Ulm, Albert-Einstein-Allee 23, 89070, Ulm, Germany.
Lukas JenneweinKlinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Frankfurt Goethe-Universität, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Christoph ScholzUniversitätsklinikum Ulm, Albert-Einstein-Allee 23, 89070, Ulm, Germany.
Annegret HannawaCenter for the Advancement of Healthcare Quality and Patient Safety (CAHQS), Faculty of CommunicationSciences, Università della Svizzera Italiana, Lugano, Switzerland.
Constructor University · DEUniversity Hospital Ulm · DEGoethe University Frankfurt · DETechniker Krankenkasse (Germany) · DEBQS Institut für Qualität und Patientensicherheit (Germany) · DEUniversità della Svizzera italiana · CH

Funding

Innovation Fund of the Federal Joint Committee (G-BA) Project No. 01VSF18023
6 · The paper itself

Abstract

backgroundPatient safety is a key target in public health, health services and medicine. Communication between all parties involved in gynecology and obstetrics (clinical staff/professionals, expectant mothers/patients and their partners, close relatives or friends providing social support) should be improved to ensure patient safety, including the avoidance of preventable adverse events (pAEs). Therefore, interventions including an app will be developed in this project through a participatory approach integrating two theoretical models. The interventions will be designed to support participants in their communication with each other and to overcome difficulties in everyday hospital life. The aim is to foster effective communication in order to reduce the frequency of pAEs. If communication is improved, clinical staff should show an increase in work satisfaction and patients should show an increase in patient satisfaction.

methodsThe study will take place in two maternity clinics in Germany. In line with previous studies of complex interventions, it is divided into three interdependent phases. Each phase provides its own methods and data. Phase 1: Needs assessment and a training for staff (n = 140) tested in a pre-experimental study with a pre/post-design. Phase 2: Assessment of communication training for patients and their social support providers (n = 423) in a randomized controlled study. Phase 3: Assessment of an app supporting the communication between staff, patients, and their social support providers (n = 423) in a case-control study. The primary outcome is improvement of communication competencies. A range of other implementation outcomes will also be assessed (i.e. pAEs, patient/treatment satisfaction, work satisfaction, safety culture, training-related outcomes). DISCUSSION: This is the first large intervention study on communication and patient safety in gynecology and obstetrics integrating two theoretical models that have not been applied to this setting. It is expected that the interventions, including the app, will improve communication practice which is linked to a lower probability of pAEs. The app will offer an effective and inexpensive way to promote effective communication independent of users' motivation. Insights gained from this study can inform other patient safety interventions and health policy developments.

trial registrationClinicalTrials.gov Identifier: NCT03855735; date of registration: February 27, 2019.

Indexed as

GynecologyObstetricsPatient SafetyClinical Studies as TopicCommunicationFemaleHealth Care SurveysHumansPatient SatisfactionPregnancyAppCommunication competencesDigitizationeHealthHAPAHealth services researchMidwifery models of careParticipatory intervention developmentPatient safetyPreventable adverse events

Identifiers

PMID31779620
PMCPMC6883614
OpenAlexW2991540863

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.